)Tj .3653 Tw 9 0 0 9 215.5 419.7986 Tm S 1 0 0 1 0 -144.788 cm 0 0 m 0 0 0 1 k T* [(fully and honestly in vulnerable con-)]TJ .0347 Tw 8 0 0 8 364.7773 698.2578 Tm W n .4105 Tw .4258 Tw T* 0 Tw Use trial and error to determine the length of your meetings. Were incentives misguided so people didnt feel motivated to try harder? /F9 1 Tf q 1 0 0 1 43 501.136 cm 0 0 m [(tinues to be controversy around the)]TJ ET T* 8 0 0 8 475.0363 635.2578 Tm [(related to the relationship with the)]TJ .3111 Tw .1942 Tw [(are offered after all patient deaths but)]TJ For organizations that identify a need to focus on teamwork, collaboration, and communication, TeamSTEPPS is a recognized method to use for quality and safety improvement. T* T* 42 673.003 258.583 22.997 re .2653 Tw f /F3 1 Tf (Disaster)Tj [()-994.5(What will y)19.7(ou remember most about this patient/)]TJ (22)Tj .0905 Tw )]TJ T* S [(emotionally vulnerable segment. 0 -145.288 l .0157 Tw Debriefing is a skill that requires practice and reflection and will improve as the debriefer gains experience. T* [(vention in learning to manage grief. [(ing aspects of the case enables partici-)]TJ .441 5.109 l 0 -114.84 l .3014 Tw 0 Tc q 0 0 0 1 k WebThe term debriefing refers to conversational sessions that revolve around the sharing and examining of information after a specfic event has taken place. .0419 Tw (1)Tj The plus-delta method is the most straightforward and intuitive format for debriefing. 292.5 391.515 m [(for meaning-making \(Rushton et al.,)]TJ )59.9( \(2005\). ET 317.581 456.542 231.419 55.438 re .4237 Tw /GS2 gs 38.8889 36.7757 TD [(Gadmer)49.9(, N.M., Lak)19.7(oma, M., Mitchell,)]TJ S 1 0 0 1 0 -157.134 cm 0 0 m New Horizons in Patient Safety. (and staff)Tj -.0288 Tc -14.8308 -1.125 TD .1229 Tw T* f /GS3 gs Its goals are to discuss the actions and thought processes involved in a particular clinical situation, encourage reflection, and incorporate improvement into future performance. T* .2382 Tw Explain what was being studied (i.e., purpose, hypothesis, aim). 0000003094 00000 n
T* Q 211 597.486 258.9 15 re .0463 Tw [()-994.5(What ha)19.8(v)24.8(e)0( y)19.7(ou e)29.8(x)-.1(per)-14.7(ienced since the death?)39.9( \(Elicit)]TJ -6.7549 -1.1 TD .3215 Tw T* -3.453 24.814 -.415 24.811 2.351 24.808 c /F4 1 Tf Debriefing can be either andragogical or pedagogical in delivery, but the simulation literature often suggests using a gentle, genuine inquiry methodology to first elicit the participants or learners understanding of what transpired. Turn action items generated in Fellow into Jira issues so their completion status stays in sync between both tools. .2391 -1.125 TD Push yourself to set these early on to pave the way for your teams learning and rapid improvement. [(ing sessions w)9.7(e)0(re conducted most frequently after une)29.8(xpected deaths or deaths)]TJ -16.8472 -1.125 TD /GS3 gs For example, if you were trying to generate fifteen wins and only generated five, dont be satisfied with answers like we didnt try hard enough. T* endobj /GS2 gs AHRQ has long incorporated clinical event debriefing into the TeamSTEPPS team training program. [(debriefing sessions\). .3351 Tw /F10 1 Tf 0 -161.134 l .2326 Tw [(Br)-14.7(itish Medical Jour)-24.7(nal, 327)]TJ Q (responses\))Tj Debriefing is defined as a dialogue between two or more people; its goals are to discuss the actions and thought processes involved in a particular patient care situation, encourage reflection on those actions and thought processes, and incorporate improvement into future performance. 0 0 0 0 k 9 0 0 9 215.5 465.4705 Tm [(Berea)19.7(v)24.8(e)-.1(ment. T* T* -12.5961 -1.125 TD T* 155 0 l 9 0 0 9 506.0167 586.688 Tm /F3 1 Tf 0 Tw /GS2 gs 1.3333 -1.1111 TD (Conclusion)Tj /F2 1 Tf ET hX\TpAAxf . -.0223 Tc In business, debriefing has been widely documented as critical to accelerating projects, innovating novel approaches, and hitting difficult objectives. [(Vice President f)29.9(o)0(r Mission Eff)29.9(ectiv)24.9(eness)14.8(, St.)]TJ 157 0 l T* .0217 Tw f T* People participate with a desire to truly understand root causes of their successes and failures so they know what to repeat and what to change. )]TJ /GS3 gs JA has a list of personnel who were present and wants to find out what happened, why it happened, and how to prevent a similar event from happening ever again. Q T* .3265 Tw [(F)49.9(a)0(ctual Inf)29.9(o)0(r)-24.8(m).1(ation)]TJ 217 578 100.581 38.758 re The location should be set up in such a way that participants are comfortable and can see and interact with each other. [(Hinds)14.8(, P)179.8(. [(Case Re)29.8(vie)19.8(w)]TJ T* [(less frequently as a theme as the num-)]TJ S 1 0 0 1 0 2 cm 0 0 m 0 0 l 1 0 0 0 k .75 0 0 0 k -493.787 0 l [(bereavement debriefing sessions scored)]TJ W n [(professional expectations. [(Center)50(, St.)59.9( Mar)-29.6(y)0()49.8(s)-.1( Health System, Le)19.8(wiston,)]TJ Fellow keeps all meeting notes in one place and chronologically for organized order. With clear objectives, this is a pretty straightforward conversation as you either did or didnt hit them. )59.9( )]TJ [(Johns Hopkins Children)55(s Center)50(,)]TJ .5073 Tw T* .248 Tw /F8 1 Tf [(care or coping with emotional and)]TJ ET 0 0 0 1 k T* Please Log in or Register to continue with access to the Northstar Meetings Group Find Event Venue Tool. [(attended two or more bereavement)]TJ [(experience physical, emotional, cog-)]TJ f .2244 Tw T* S 1 0 0 1 0 2 cm 0 0 m q .0189 Tw The joy of designing a quality debriefing is that each one will be different, because each group you lead will be different. .0108 Tw Log-in or Register and get immediate access to 2018 Salary Survey, 211 400.261 258.583 15.224 re )59.9( \(1996\). -.0287 Tc 37 0 obj ET T* .0499 Tw [(stances of the death \(if the staff felt the)]TJ Ideally, stress debriefing takes place shortly after the traumatic event to increase its effectiveness. Kate Dagher (Postgraduate H.Dip Psychology and BA in Business Management) has a management and corporate consulting background, having worked in the public sector, sales, and corporate finance. 0 0 0 1 k .0277 Tw -.028 Tc T* They decide to focus on the patient and staff safety concerns and identify gaps in systems, teamwork, and knowledge that contributed to the event. Timelines take longer than you had anticipated. [(Nanc)9.7(y)-.1( Hutton,)39.8( MD)29.7(,)]TJ .3223 Tw The article by the Harvard Business Review, also highlights the importance of capturing the lessons learned during your session: Make sure you capture lessons learned in a usable format for later reference/use. 0 -145.288 l 0 0 0 1 k 36 36 157 145.129 re [(atr)-14.7(i)0(c oncology)99.8(. )59.9( Berea)19.8(v)24.8(ement debr)-14.8(iefing sessions can)]TJ /GS2 gs .0315 Tw An official website of -.0231 Tc -19.0531 -1.125 TD T* T* -.0279 Tc S 1 0 0 1 231.169 0 cm 0 0 m 0 Tw -12.3235 -1.125 TD )59.9( )]TJ Action Gather Analyze Summarize Closed-Loop Communication Orders acknowledged and -1.3333 -1.1111 TD Clinical event debriefing can be challenging to implement due to uncertainty about when it will occur and the nature of the events to be debriefed; the time pressures of the clinical environment; and team members variable facilitation skills and experience. .2038 Tw [(did not know the patient or this was)]TJ T* [(icant for participants, along with the)]TJ .2593 Tw T* Policies, HHS Digital T* .0277 Tw BT -4.775 0 l T* (6)Tj (11)Tj -.0073 Tw [(ment project funded by the)]TJ [(grief, while those who participated in)]TJ Q WebDavid Kolb, an American educational theorist and one of the forefathers of experiential education philosophy, believed that in order to truly learn from experience there must be .0277 Tw .0277 Tw S While the same person completed)]TJ -.0288 Tc [(Prof)29.9(essional distress)]TJ .147 Tw .2216 Tw -1.3333 -1.1111 TD 0 Tc Learn how the worlds best companies run effective team meetings featuring insights from Figma, Buffer, Close, Webflow, Shopify, and more. Plan it in advance. The first step in learning is engaging the brain, so choose a variety of discussion techniques 9 0 0 9 139.8208 16.8862 Tm T* /F5 1 Tf .4255 Tw As a general rule, I tell teams to start with one debriefing a week to figure out what works best for them. .0642 Tw It may be helpful to have a second moderator to take notes or serve as secondary support for stressed participants. 0 0 0 1 k Knowledge, attitudes, and expectations of medical staff toward medical error management policies in humanitarian medicine: a qualitative study. -.0059 Tc [(response to a narrative question about)]TJ BT students online certificates, what should you do? ET 8.778 15.053 l 0 0 0 1 k [(PEDIA)75.9(T)-.1(RIC NURSING)]TJ f [(aimed at providing emotional sup-)]TJ 0 783.015 585 -783 re ,BceWcY* E6^wZW. T* /GS2 gs -.0147 Tc -.0113 Tc 469.583 369.313 73.417 15.724 re /F11 1 Tf Q [(In addition, an IRB-exempt, anony-)]TJ [(Bandstr)9.9(a, E.S)19.7(. f -.0181 Tw BT What caused our results? (physicians \(Behnke et al., 1987,)Tj .3322 Tw /F6 1 Tf f [(contin)9.8(ue to pro)14.9(v)-.1(ide care f)29.9(o)0(r other patients and )]TJ There is a growing body of literature describing the characteristics of effective debriefing models and the utility of different debriefing techniques in the context of medical simulation. The problem withusing stories as a source of evidence and learning. Debriefing is not counselling. T* WebDebriefing is more than just asking your group to circle up and asking a few questions. 14.275 0 TD .0799 Tw The goals of this phase are to explore participants rationale for observed behaviors, identify and close performance gaps by discussing pros and cons of chosen actions, and determine any modifiable systems issues that may have interfered with performance. .2521 Tw [(rienced since the death? provides an)]TJ BT 0 0 0 0 k (debriefing session. 9 0 0 9 139.8208 16.8862 Tm 8 0 0 8 37 421.1815 Tm By the same token, when you're back in the home office, you can create a standard of holding a weekly debrief every Friday at 4 p.m. .0287 Tw -.0059 Tc T* BT 0 0 0 1 k T* [(nurses \(374 [54%] of the 676 health)]TJ [(/July-August 2010/V)75.9(o).1(l. 36/No. -.0113 Tc 2.25 -1.125 TD [(from seeing how this affected them. )]TJ 0 Tw T* 0 783 585 -783 re 2.25 -1.125 TD /GS3 gs [(hesitation for working with critically ill)]TJ /F1 1 Tf Asking these types of questions demonstrates your interest and shows your employees that their opinions and advice truly matters. She has a list of items to bring to the Quality and Safety committee for further follow-up including maps for the code team and better AED signage. f -.0116 Tc 0 Tw -.0116 Tc .0737 Tw It offers workers clarity about the critical incident they have experienced and assists them to establish a process for recovery. .5 w 8 0 0 8 274.4702 608.2578 Tm -.0575 Tc .1563 Tw [(Str)9.9(a)0(tegies f)29.9(o)0(r Coping)]TJ -11.6662 -1.1 TD -.0186 Tw T* [(r)-29.7(y)-.1(telling f)29.8(o)0(r g)9.7(r)-14.8(ie)29.8(ving pediatr)-14.8(i)0(c oncology)]TJ 10.008 0 TD While youll find a variety of event debrief questions, all good debriefs share the following characteristics: Active participation by all individuals involved in the event being debriefed An open, democractic discussion, in which all team members get a say regardless of seniority 1 0 0 0 K T* Coronavirus Disease 2019 (COVID-19) and Diagnostic Error. -1.3333 -1.1111 TD [(Sessions at Johns Hopkins)]TJ T* T* [(pation in HLCC program activities and)]TJ Depending on the severity of the incident, emotions may run high. -.0162 Tw The biggest hurdle to debriefing is merely starting it, especially if you have a culture where this sort of open communication isnt the norm. q 1 0 0 1 594 735.081 cm 0 0 m -.0288 Tc T* f T* 0 Tw )59.9( )]TJ q 1 0 0 1 43 306.101 cm 0 0 m -.0001 Tc Accelerate your career with Harvard ManageMentor. 211 430.709 258.583 15.224 re [(Nursing, 25)]TJ T* T* -552 0 l .0277 Tw YL>331Htp74j\carz`/ OAWaACfTY#vpUCb 5
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ET .1628 Tw .398 Tw BT T* .8814 Tw 9 0 0 9 55 296.3511 Tm .2496 Tw Establishing a regular rhythm to your business will help you and your team identify challenges and develop best practices. -13.4141 -1.125 TD .2102 Tw [(dent categor)-11.9(y)73.9(. -.0112 Tc (tistical significance. .3524 Tw T* 9 0 0 9 221.5 446.0823 Tm .4099 Tw BT T* [(and families \(International W)75.9(ork Group)]TJ )59.8( \(2006\). If youre looking for a way to promote learning and continuous improvement, it all starts with a debrief. [(W)29.8(i).1(thout the ability to manage one)55(s)]TJ T* A debrief meeting is a powerful and productive way to improve the recollection of crucial information, consider important learnings, and ensure that everyone on the team is on the same page. endobj [(sionals, often in the wider context of)]TJ /F11 1 Tf T* Many evalua-)]TJ 0 0 0 1 k [(care prof)29.9(essionals:)49.9( An action plan to)]TJ .0067 Tw [(P)39.7(alliativ)24.8(e Medicine)14.9(, 9)]TJ [(2004\). 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We also learned that our new signage and mapping ensured that attendees knew where they were going and arrived on time. 0 0 0 0 k S WebINTRODUCTION The debrief is a common form of retrospective analysis of critical incidents in nursing and the health professions (Ireland et al 2008), but its potential for nurse education has not been fully recognised. .5697 0 TD T* .0277 Tw .0692 Tw 0 0 0 1 k .0511 Tw .0278 Tw /GS2 gs T* Davies \(1996\) found that the)]TJ (2\). endstream 38.8889 74.3372 TD T* Examples include a one-on-one discussion with a healthcare professional who made a medical error or discussing the actions and outcomes of a code blue event with the personnel who were present. [(of Social )39.8(W)29.8(o)0(r)-14.8(k)-.1( in End-of-Lif)29.8(e & P)39.7(alliativ)24.8(e)]TJ Q .1035 Tw Most often, it was)]TJ /GS3 gs .2861 Tw 8 0 0 8 475.2342 544.2578 Tm 8 0 0 8 234.225 554.2578 Tm For each project, event, or topic youre debriefing Staff members may vocalize distress or may note emotional reactions in others. Q 211 627.486 258.9 15 re -.0116 Tc -.0116 Tc 1 0 0 0 k [(Berea)19.8(v)24.9(e)0(ment Coordinator)50(, Harr)-14.7(iet Lane Com )]TJ ).1(L., & )39.8(W)39.8(alter)49.9(, C)29.7(. T* .43 Tw [(strategy to address staff retention and)]TJ 4)]TJ ET Different recollections of the timing of certain actions were expressed, which caused some heated interchanges. T* .1912 Tw f 0 0 0 0 k .7001 Tw /F11 1 Tf .1363 Tw (189)Tj -15.636 -.029 -27.04 4.055 -25.503 20.064 c /GS3 gs -.0318 Tw 211 445.933 258.583 15.224 re -1.3333 -1.1111 TD [()-994.5(R)0(e)29.8(v)-.1(ie)19.8(w a)19.8(v)24.8(ailab)19.8(le resources)]TJ T* .0009 Tw Group norms of going around the circle giving each person the opportunity to share or use of a talking stick can be implemented. [(McCo)29.8(yd, J)29.7(. [(threatening conditions. .2741 Tw 0 0 0 1 k When a person asks, What happened? they are initiating the process of debriefing. (patients deaths in the hospital setting)Tj 12 0 0 12 43 505.3862 Tm -.0173 Tc S [(reported next was a sudden or unex-)]TJ [(health care professional when a child)]TJ T* -16.8471 -1.125 TD -.0279 Tc Policy, U.S. Department of Health & Human Services. Ive found 30-60 minutes is optimal for most debriefing meetings. [(bereavement debriefing session is the)]TJ 0 0 0 0 k 9 0 0 9 46.5 616.4217 Tm 0 Tc [(grief in caring for children with life-)]TJ (, 165. Q 0 0 0 1 k )59.9( )]TJ .0221 Tw [(PEDIA)75.9(T)-.1(RIC NURSING)]TJ 6.215 0 l ET 0 -1.1111 TD 0 0 0 0 k [(sions also scored higher in their ability)]TJ [(ing session, and participants complet-)]TJ [(December 2005, 113 bereavement)]TJ -.0093 Tw -.0403 Tc -.0279 Tc -9.439 14.729 l .0362 Tw 1.3333 -1.1111 TD /GS2 gs [(\(3.1/5\) as opposed to non-participants)]TJ T* .172 Tw [(their personal and professional)]TJ -.0116 Tc /GS3 gs -16.8894 -1.1111 TD )Tj Here are four steps to conduct an effective debriefing: The key here is to make the debriefing expected, so everyone adopts a learning mindset before the activity at the center of the debriefing even takes place. Debriefing is defined as a dialogue between two or more people; its goals are to discuss the actions and thought processes involved in a particular patient care T* .777 0 TD Q T* -.0116 Tc The expression the Army uses is: leave your stripes at the door. -.0116 Tc .0495 Tw q Debriefing is a structured learning process designed to continuously evolve plans while theyre being executed. The Art of the One-on-One Meeting is the definitive guide to the most powerful tool for managers. T* hb``d``:U 9 0 0 9 42 751.3881 Tm ET f 0 0 0 1 k f endstream f Multiple departments responded and there was disagreement about the treatments and interventions. .0287 Tw [(patient/family)73.9(. (emotional support. S )50.1( )]TJ [(cumstances at the time of death. /GS2 gs [(of long-ter)-24.8(m).1( patients)14.8(. T* T* [(wa)-14.9(s)-15( a)]TJ [(essential for the success of this type of)]TJ 36 13.385 507 13.615 re 0 -1.1111 TD .0321 Tw .0542 Tw 19.2922 0 TD .75 0 0 0 k 292.5 391.515 m This is where you put everything on the table and ask How did we do?. T* T* .1241 Tw .3382 Tw 9 0 0 9 321.8306 567.5404 Tm .7149 Tw BT .2658 Tw Team members must be direct with each other during this phase, and moderators may need to actively facilitate team members sharing what they were thinking and how they were affected by the actions of others. /GS2 gs .3098 Tw [(Responses to the most satisfying)]TJ .4148 Tw T* )59.9( \(2002\). Research specific to clinical events debriefing provides support for debriefing as a means to improve team performance as well as. .1722 Tw [(ever)-11.8(y death \(113 sessions were held for)]TJ /F5 1 Tf Along with this, the other key aspect of creating a learning environment is no pointing fingers. [(Jo)29.8(y from car)-14.7(ing f)29.9(o)0(r patient)]TJ [(suppor)-39.7(t health care prof)29.9(essionals;)49.9( one inter)-29.6(v)24.8(ention the berea)19.8(v)24.8(e)0(ment debr)-14.8(iefing)]TJ The second column is labeled Plus and includes descriptions of the positive or effective characteristics of the actions, and the third column lists opportunities for improvement of actions in the future (Delta for change). [(after ever)-11.8(y death, they are not held for)]TJ T* 12 0 0 12 43 516.3862 Tm [(also reported that provision of opportu-)]TJ Jennifer J. Edwards, MS, RN, CHSEAssistant Clinical ProfessorBetty Irene Moore School of NursingUC Davis Health, Sage Wexner, MD, RNDirector of Medical SimulationsKern Medical Center, Amy Nichols, EdD, RN, CNS, CHSEClinical ProfessorBetty Irene Moore School of NursingUC Davis Health. Only number three can drive the growth of your team and company over the long term. .1747 Tw [(professionals to process personal and)]TJ [(Education Development Center)50(,)]TJ /GS3 gs [(a session, the two main reasons are we)]TJ .0963 Tw [(female doctors reported more symp-)]TJ Specifically, what should we do next now that we know what we know? .0207 Tw ET ).1(H., Hutton, N., & Hall,)]TJ ET [(An Inter)-12.1(vention to Support Health Care)]TJ .0277 Tw [(Ref)9.9(erences)]TJ (185-191. [(Medicine)14.9(, 11)]TJ 1 It was developed in 1974 by Dr. Jeffrey Mitchell, a former firefighter and paramedic, as one component of a .2591 Tw .135 Tw Please select your preferred way to submit a case. Staff who partic-)Tj 0 Tc -.0116 Tc T* T* T* [(related to the loss of the relationship)]TJ T* 35 0 obj .0287 Tw A great meeting agenda also ensures that all team members have a chance to contribute to the discussion. Available on Mac, Windows, iOS, and Android. What is the purpose of a debriefing session? 217 395.431 100.581 35.877 re [(spiritual stress. /F1 1 Tf [(also true; although sessions are offered)]TJ [(uate the sessions. .202 Tw /GS3 gs .0113 Tc .3631 Tw 0 Tw -.026 Tc T* 507 0 l More than 2 million meeting agendas and notes are hosted in Fellow. [(pation in bereavement debriefing ses-)]TJ T* 8 0 1.7005 8 164.2259 97.1815 Tm [(Another way in which bereavement)]TJ /GS2 gs .15 0 0 0 k .6735 Tw Medical abbreviations that have contradictory or ambiguous meanings. .0527 Tw -5.739 41.243 -.69 41.238 3.908 41.234 c Insights from leaders at Loom, Upwork, Oyster, Because Mondays, and Fellow on how to embrace Hybrid Work. ET .8068 Tw 1.3333 -1.1111 TD -.0112 Tc -.028 Tc ET 0000009102 00000 n
[(greater the level of participation in)]TJ /Document /MC2 BDC .0537 Tw .3824 Tw q )Tj /GS3 gs .1684 Tw -4.869 -.014 -10.348 -.029 -12.451 -.029 c ET BT -.0042 Tw [(Objectives and posttest can be found on page 190. -1.3333 -1.1111 TD 2.376 24.762 l <> [(from http://www)59.8(.hhnmag.com/hhnmag)]TJ T* T* .0962 Tw [(with life-threatening conditions, the)]TJ Telephone: (301) 427-1364. [(gies, and needed more emotional sup-)]TJ [(Several results from this study vali-)]TJ 9 0 0 9 338.2845 601.1976 Tm How did you feel while you did the activity? 0 0 0 1 k 211 612.486 258.9 15 re Debrief it all: a tool for inclusion of Safety-II. <>/ExtGState<>>> Stay aligned on projects, drive progress and accountability, and improve collaboration. [(with the patient/family occurred most)]TJ T* The moderator should be prepared to guide the experience and provide breaks as necessary. Try not to blame anyone and deal in the most polite way possible. [(for requesting the bereavement)]TJ 211 491.604 258.583 22.997 re [(patient? can elicit responses about)]TJ ET T* (12)Tj T* [(lessons did we learn from caring for)]TJ Dealing debriefing sessions calmly 3. -6.736 8.397 l f [(to express one)55(s grief and reflect on the)]TJ EMC -.0288 Tc [(tor can offer a quality of presence that)]TJ .0653 Tw PSNet primers are regularly reviewed and updated to ensure that they reflect current research and practice in the patient safety field. [(one study of physicians concluded that)]TJ -.0059 Tc q 1 0 0 1 484.787 735.081 cm 0 0 m 8 0 0 8 137.769 394.1816 Tm q 1 0 0 1 36 26.75 cm 0 0 m .6498 Tw 0 0 0 1 k Check out our latest testimonials from people like you! -.0347 Tw T* .0277 Tw /GS2 gs T* f -11.0045 -1.125 TD BT Fifty-seven per)18(cent of)]TJ 0 Tw This summary is also an opportunity to share your lessons learned with your clients, customers, and even the general public.
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